Major Responsibilities:

Provides continuity of care by ensuring smooth transitions between care settings. Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.Completes a nursing assessment to identify the patients individualized needs and collaborates with multidisciplinary team and other departments to develop an interdisciplinary plan of care.Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care. Navigates through the diagnosis, treatment and follow-up of the patient throughout the continuum of care.Provides expert clinical advice to the multidisciplinary team in designing collaborative teaching plans/programs and in planning/providing patient/family education and discharge planning including wellness and health maintenance within designated specialty.Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes.Evaluates, selects or designs patient education materials on specific disease site programs. Provides education and outreach programs to patients, Aurora staff and to members of the community.Assists leadership in developing program vision, goals and objectives. Assists in the development, implementation and maintenance of quality programs that include best practice patient care outcomes including quality of life, and enhanced patient loyalty.Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and/or Certification Required:

Registered Nurse license issued by the state in which the team member practices, andBasic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required.

Education Required:

Associate's Degree in Nursing.

Experience Required:

No experience required.

Knowledge, Skills & Abilities Required:

Excellent communication (written and verbal) and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians.Demonstrated ability to effectively make critical, independent decisions.Excellent organization, prioritization and problem solving skills.Demonstrated leadership skills including delegation, organization, prioritization and building team rapport.Proficient computer skills including keyboarding, navigation within a windows operating system, use of electronic mail and electronic medical records systems.

Physical Requirements and Working Conditions:

Must sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb, and reach above shoulders throughout the workday.Must be able to:lift up to 50 lbs from floor to waist.lift up to 20 lbs over the head.carry up to 40 lbs a reasonable distance.Must be able to:push/pull with 30 lbs of force.perform a sliding transfer of 150 lbs with a second person present.Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed.Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills.Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.